CARLY WALLNER
NPI 1801525795
Counselor - Mental Health in Port Washington, WI
About Carly Wallner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY WALLNER (NPI 1801525795) is an individual mental health provider in Port Washington, Wisconsin, licensed in Wisconsin (8355-125) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carly Wallner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Carly Wallner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Port Washington, WI 53074
- Reassigned Medicare billing, Wisconsin enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carly Wallner's NPI number?
The NPI number for Carly Wallner is 1801525795. It was assigned to this individual provider in the NPPES registry on June 7, 2022.
Where is Carly Wallner located?
Carly Wallner practices at 121 W Main St, Port Washington, WI 53074. The listed phone number is (262) 238-8130.
What is Carly Wallner's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Carly Wallner enrolled in Medicare?
Yes. Carly Wallner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Carly Wallner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Wallner reassigns Medicare benefits to County Of Ozaukee (Port Washington, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Wallner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carly Wallner accept?
Health plans from Anthem Blue Cross and Blue Shield, Network Health, Quartz and UnitedHealthcare list Carly Wallner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carly Wallner was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carly Wallner · NPI 1801525795
Mental Health provider in Port Washington, Wisconsin. Individual provider, active in the CMS NPPES registry since June 7, 2022.
## Identity
- **NPI:** 1801525795 (Entity type: Individual)
- **Enumerated:** June 7, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 8355-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 121 W MAIN ST, Port Washington, WI 53074-1813
- **Phone:** (262) 238-8130
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** County Of Ozaukee (NPI 1609867001, Port Washington, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1801525795) · Data from the CMS NPPES public registry.